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1. What are the 5 Assessment - Collecting subjective & objective data from the patient
steps of the nurs- Diagnosis -Data is collected & analyzed in order to make a nursing judgment
ing process & an Planning - Nurse decides the best plan while considering data
example of each? Implementation -Carrying out the plan
Evaluation -Determining whether plan was successful & what can be improved
2. Write an example Initial comprehensive: seeing a new patient for the first time at that practice
of an initial com- Ongoing/partial: a check up/follow up Emergent: Pt coming
prehensive as- into ER w/ gunshot wound
sessment -on- Focused: Pt broke arm or is having stomach pains
going/partial as-
sessment - fo-
cused assess- ment
& emer- gent
assessment
3. How can the Review pt record
nurse prepare Review pt previous & current health status w/ other healthcare professionals Take time to educate
for the assess- themselves about pt diagnosis & tests performed
ment?
4. What is a nursing Data analyzed and by definition of NANDA "a clinical judgment concerning a
diagnosis? Give an human response to health conditions/life processes, or vulnerability for that response by an individu
example. family, group or community." It serves as a basis for nursing interventions w/ achievable
outcomes by nursing statt
Example: Pt came back from surgery ’"Risk for infection r/t new incision & in- creased WBC
from possible inflammation"
5. What is the health
The health belief model is based on 3 concepts:
belief model? existence of suflcient motivation
When would we belief that one is susceptible or vulnerable to a serious problem
use it? belief that change following a health recommendation would be beneficial to
,NUR 514 - EXAM 1 STUDY QUESTIONS WITH ALL CORRECT
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the individual at a level of acceptable cost.
This model would be used to analyze health promotion and disease prevention.
6. What are some Anything patient states
examples of sub- Does not involve measured, numeric data
jective data? Examples: sensations/symptoms, feelings, perceptions, desires, preferences, be- liefs, ideas,
values, personal information
7. What are the 3 Pre Introductory:
phases of the in- Review medical record Introductory:
terview? Define Nurse introduces themselves
them. Explain purpose of the interview, what type of questions will be asked, and why they will
be taking notes
Nurses makes sure pt is comfortable and ensures their privacy
Working phase:
Nurse listens to patients comments on biographical data, reasons for seeking care,
history of present health concern, past health history, family history, review of body systems
for current health problems, lifestyle & health practices
Nurse & patient together determine pt problem & goal Summary
& Closing:
Nurse summarizes information obtained during working phase & validates pt problems an
goals
They discuss possible plans to resolve the problem Nurse asks
if there are any other questions or concerns
Nonverbal communication pertains to anything & everything that is not commu- nicated direc
8. Give examples of using your voice to speak
nonverbal com- Examples: silence, stands (hands folded over chest), body language (standing vs. sitting,
munication & too much eye contact vs. not enough)
what to avoid Nurse interviewer should avoid silence & having an aggressive stance/body lan- guage,
when interview- maintain an appropriate amount of eye contact
ing a patient
,NUR 514 - EXAM 1 STUDY QUESTIONS WITH ALL CORRECT
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9. Give examples of Open ended questions
verbal communi- Close ended questions
cation tactics Laundry listing
Giving options: "is pain sharp, radiating, pulsing, etc."
Rephrasing the question
Well-placed phrases
Inferring
Providing information
10. What are some Example: Assessment on Indian girl
examples of cul- No male presence in the room, even if it is her father Have mom
tural - emotion- al there for emotional support
& age re- lated For age, do not ask any questions related to personal matters in front of her mom Age related
considera- tions example: hearing abilities of pt.
when con- Cultural example: space b/w you and pt.
ducting an as-
sessment?
11. What mnemonic COLDSPA
is used to ex- Character: describe the signs/symptoms (feeling, appearance, smell, sound taste)
plore pt symp- Onset: when did it begin?
toms? What does Location: where is it? Where does it radiate? Other locations? Duration: how
each letter in the long does it last? Is it continuous or intermittent? Severity: how bad is the
mnemonic stand pain (0-10)?
for? Pattern: what relieves it? What worsens it?
Associated factors: other symptoms that may be related to the main symptom?
Description of a typical day (AM to PM) Nutrition
12. What kind of & weight management
information is 24 hr dietary intake (foods & fluids) Who
explored when purchases & prepares meals?
you review the
, NUR 514 - EXAM 1 STUDY QUESTIONS WITH ALL CORRECT
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lifestyle & health Activities on a typical day
practice of the Exercise patterns & habits
patient? Sleep & rest patterns
Use of medications and other substances (catteine, nicotine, alcohol, recreational drugs)
Self concept
Self care responsibilities
Social activities for fun & relaxation Relationships w/
family, significant others, pets Values, religious
aflliation, spirituality
Past, current, & future plans for education
Type of work, level of job satisfaction, work stressors Finances
Stressors in life, coping strategies
Residency, type of environment, neighborhood
Environmental risks
Presence of a wound
Vital signs
13. What are some Ht/wt
examples of ob- General appearance
jective data? Level of consciousness
Anything the nurse can see with their own eyes
Inspection
Palpation
14. What are the Percussion
4 physical exam Auscultation
techniques that Always inspect before touching pt so you don't change appearance of the skin
you must do in
order? Types of palpation Light:
15. What are the
different types